Pharmacy Services

pharmacy searchableCenCal Health Pharmacy Services provides a comprehensive pharmacy benefit that includes formulary management, a robust pharmacy network, and quality customer service. Our pharmacy network spans both Santa Barbara and San Luis Obispo Counties providing our members with convenient pharmacy locations.

Pharmacy Benefit Manager

CenCal Health has contracted with MedImpact as its Pharmacy Benefit Manager (PBM) to assist in the administration of our pharmacy benefit.

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MedImpact provides: 

  • Claims processing
  • Pharmacy network management
  • Prior authorizations
  • Customer service
  • Drug utilization management services

CenCal Health Pharmacy Team shall oversee MedImpact’s administrative and daily operational role. To contact MedImpact, call: (800) 788-2949.


Our Promise: Our Pharmacy Team is committed to providing consistent, compassionate, local support.

Opioid Update 2019

Opioid Naïve-Acute Pain Day Supply Limit

With the approval of CenCal Health's Pharmacy and Therapeutics Committee and in coordination with its Pharmacy Benefits Manager (MedImpact), CenCal Health continues to implement a multiphase plan to deter overutilization of opioids, and update utilization management measures.

Effective 4/1/2019, CenCal Health will implement an opioid naïve edit that will limit initial opioid prescriptions to a 7-day supply. Patients will be identified as opioid naïve by looking back into the member's claim history for an opioid prescription fill in the past 60 days. Further details on the opioid naïve edit will be available in March. 



Synagis® RSV Season

Synagis® Pharmacy Update: RSV Season

CenCal Health would like to assist our members and providers in preparation for the upcoming RSV season. In conjunction with the Department of Health Care Services' Children's Medical Services Network, the Synagis® prophylaxis season will begin November 1, 2018, and run through March 31, 2019. Medical Request Forms (MRFs) will be accepted beginning October 1st for initial administration beginning November 1st to ensure that the infant's child/weight is current.

Synagis® is required to be ordered through our Specialty Pharmacy vendor, Diplomat Specialty Pharmacy. Order forms can be obtained through the CenCal Health website at: www.cencalhealth.org or by contacting Diplomat Specialty Pharmacy directly at (877) 319-6337. Please contact CenCal Health Pharmacy Services Department at (805) 562-1080 if you have questions or need any assistance.



























Formulary Updates

DUR: Educational Articles

The purpose of this educational intervention component of DUR is to improve the quality and cost-effectiveness of prescribing and dispensing practices for Medi-Cal recipients. Educational interventions include ongoing dissemination of information through the Medi-Cal provider bulleting process about clinically important, drug-specific therapy problems. 

Alert-New Naloxone Regulations Effective on January 1, 2019

Alert-Mandatory Use of CURES 2.0 Begins October 2, 2018

2018 Immunization Updates: Flu, Tdap, HepB, Zoster, MMR, Adult Vaccines

Drug Safety Communication Adverse Effects from Fluoroquinolone Antibiotics-July 2018

ProDUR Update Additive Toxicity Alert Now Focused Only On CNS Depressants

In the Pharmacy: Pharmacist Furnishing Nicotine Replacement Products

Drug Safety Communication: New Age Limit of Opioid Cough and Cold Medicines-February 2018

Clinical Review: Drug-Induces QT Interval Prolongation-August 2017